I have gestational diabetes, and while my fasting and two hour after meal levels are usually okay (80-88 mg/dl [4.4-4.9 mmol/L] and less than 120 mg/dl [6.7 mmol/L] respectively), my one hour after meal readings are sometimes really high (180-190 mg/dl [10-10.5 mmol/L]). Is this okay since the other readings are okay?

Answer:

Your test results demonstrate why I prefer to check a blood sugar one hour after a meal rather than two hours. Sometimes the one hour level will be high due to insulin resistance, but you can still manage to bring your blood sugar down to a reasonable level by two hours. This should be reported to your doctor. You may benefit from an oral hypoglycemic agent or even a little bit of insulin to help control that high level.

Last Updated: Tuesday April 06, 2010 15:09:48
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